JAYNE M SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041266709

License Status

NOT RENEWED

Business

First Name

JAYNE M

Last Name

SULLIVAN

Business Name

JAYNE M SULLIVAN

Original Issue Date

01/16/1992

Effective Date

06/11/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2022